Provider Demographics
NPI:1598496788
Name:ARMSTRONG, JESSE LYNN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:JESSE
Middle Name:LYNN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:2895 S HADLEY RD
Mailing Address - Street 2:
Mailing Address - City:ORTONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48462-9283
Mailing Address - Country:US
Mailing Address - Phone:989-245-0826
Mailing Address - Fax:
Practice Address - Street 1:5830 N LAPEER RD STE B&C
Practice Address - Street 2:
Practice Address - City:NORTH BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48461-9660
Practice Address - Country:US
Practice Address - Phone:810-255-1070
Practice Address - Fax:810-255-1071
Is Sole Proprietor?:No
Enumeration Date:2022-06-20
Last Update Date:2023-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704253400163WC0200X, 363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care